Patient Access Specialist II

Fairview Health Services • Minneapolis, MN

3h

About The Position

As part of Revenue Cycle Management, the Patient Access Specialist II creates a positive first impression of M Health Fairview and helps ensure an exceptional experience while interacting with patients, families, and internal and external stakeholders. The role gathers patient demographic and insurance information, verifies insurance eligibility and benefits, communicates financial responsibilities, and collects payments. The position requires professionalism, organization, effective interpersonal and critical-thinking skills, a strong work ethic, and flexibility, while demonstrating M Health Fairview’s commitments to Integrity, Service, Compassion, Innovation, and Dignity.

The schedule is 3:30 p.m. to 12:00 a.m., Monday through Friday, and the position rotates between the hospital emergency room and scheduled services for registered patients. Participation in a weekend on-call rotation is required.

Requirements

• At least 2 years of combined customer service, healthcare revenue cycle, or equivalent Level 1 position experience.
• Patient collections experience in a medical setting.
• Effective written and verbal communication skills, attention to detail, self-direction, and a positive attitude.
• Ability to work independently and in a team environment.

Nice To Haves

• Post-secondary education.
• Ability to work accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
• Experience serving as a subject matter expert and willingness to support team members with questions.

Responsibilities

• Interview patients to obtain and document accurate demographic and insurance information in the medical record.
• Use insurance knowledge and available resources to code insurance and verify eligibility through online, web-based, or phone systems.
• Complete patient check-in, including collecting co-pays, obtaining signatures, scanning insurance cards and IDs, and providing notices required by regulations.
• Educate patients about price transparency and estimated financial responsibilities, collect expected payments, and refer patients to financial assistance or counseling resources as appropriate.
• Interact with patients and families in challenging situations, using de-escalation skills when needed.
• Manage daily worklists and work queues, resolving assigned tasks accurately and efficiently; assist with training and mentoring staff.
• Confirm insurance benefits, coverage limitations, referral or authorization requirements, and patient liabilities.
• Prepare and communicate or deliver notices of non-coverage, such as HINN, ABN, waivers, and Medicare lifetime reserve day notices.
• Follow up with payers on active authorized referral requests to verify determinations or the payer's progress in the determination process.
• Collaborate with other departments and teams to manage tasks in a high-volume environment and provide patients with resources and contacts for a seamless experience.
• Adhere to compliance and regulatory requirements, department protocols, and procedures; protect patient privacy and access information only as needed for job duties.
• Contribute to the collection of expected payment.
• Participate in improvement efforts and initiatives supporting organizational goals and vision, and follow Revenue Cycle’s Escalation Policy.
• Rotate between the hospital emergency room and scheduled services for registered patients.
• Participate in the weekend on-call rotation.

Benefits

• Medical, dental, and vision plans.
• Life insurance.
• Short-term and long-term disability insurance.
• PTO and Sick and Safe Time.
• Tuition reimbursement.
• Retirement benefits.
• Early access to earned wages.
• Additional benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed